National Provider Identifier [NPI]: |
1639187354 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1120 FIRST COLONIAL RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
VIRGINIA BEACH |
Zip Code Of The Provider |
234542418 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
6557 |
Number Of Medicare Beneficiaries |
1247 |
Total Submitted Charge Amount |
489234 |
Total Medicare Allowed Amount |
316752.77 |
Total Medicare Payment Amount |
241258.8 |
Total Medicare Standardized Payment Amount |
244324.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
125 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
2819 |
Total Drug Medicare AllowedAmount |
2127.19 |
Total Drug Medicare PaymentAmount |
2082.49 |
Total Drug Medicare Standardized Payment Amount |
2082.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
6432 |
Number Of Medicare Beneficiaries With Medical Services |
1247 |
Total Medical Submitted Charge Amount |
486415 |
Total Medical Medicare Allowed Amount |
314625.58 |
Total Medical Medicare Payment Amount |
239176.31 |
Total Medical Medicare Standardized Payment Amount |
242242.17 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
356 |
Number Of Beneficiaries Age 65 to 74 |
519 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
675 |
Number Of Male Beneficiaries |
572 |
Number Of Non Hispanic White Beneficiaries |
1032 |
Number Of Black or African American Beneficiaries |
161 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
996 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9511 |